ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

Moisture-associated skin damage is mainly caused by:

1. AA deep tissue infection
2. BProlonged contact with urine, faeces or sweat
3. CAn allergy to the bed sheets
4. DPressure over a bony area for a long time

The term "haemoptysis" means:

1. AVomiting blood
2. BPassing blood in the urine
3. CCoughing up blood
4. DA nosebleed

What is the Visual Infusion Phlebitis (VIP) score used for?

1. AAssessing a cannula site for signs of phlebitis
2. BScoring the patient's pain
3. CMeasuring the speed and volume of an infusion
4. DChecking blood glucose control

ผู้ป่วยหัวใจล้มเหลวน้ำหนักเพิ่มขึ้น 2 กก. ในสองวัน สิ่งนี้บ่งชี้อะไรมากที่สุด?

1. Aมวลกล้ามเนื้อเพิ่มขึ้น
2. Bภาวะขาดน้ำ
3. Cการรักษาได้ผล
4. Dการคั่งของน้ำ

A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?

1. ANasal cannula at 2 L/min
2. BVenturi mask set to 24%
3. CSimple face mask at 5 L/min with the patient sitting up
4. DNon-rebreathe mask with reservoir bag at 15 L/min

Why is oxygen often humidified for a patient with a tracheostomy?

1. AThe tube bypasses the nose, which normally warms and moistens air
2. BDry oxygen causes high blood glucose
3. CHumidity is needed for the oxygen to work as a drug
4. DHumidification lowers the oxygen concentration to a safer level

A patient going home with a leg cast is taught about cast care. Which statement shows a need for further teaching?

1. A"I will come back if my toes go numb or turn blue."
2. B"I will keep the cast dry."
3. C"I can push a knitting needle down the cast to scratch an itch."
4. D"I will keep my leg raised on pillows for the first few days."

A patient with a possible neck injury after a fall needs their airway opened. Which manoeuvre is preferred?

1. AJaw thrust
2. BTurning the head to one side
3. CHyperextending the neck
4. DHead tilt with chin lift